The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?
"If I stop sweating should call 911 or get to the Emergency Department quickly.”
"If this happens in the future, lying in cool water would be beneficial.”
“Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.”
"Drinking water is the best way to improve sodium intake.”
The Correct Answer is D
A. "If I stop sweating, I should call 911 or get to the Emergency Department quickly.” An absence of sweating can indicate heat stroke, a medical emergency.
B. "If this happens in the future, lying in cool water would be beneficial.” Cooling measures like cold baths, ice packs, and shade help reduce body temperature.
C. “Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.” Salt tablets can irritate the stomach and cause nausea, vomiting, and hypernatremia.
D. "Drinking water is the best way to improve sodium intake.” While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia, leading to confusion, seizures, or coma. Electrolyte-containing drinks (e.g., sports drinks, oral rehydration solutions) are better choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nocturia: Excessive nighttime urination, not decreased urine output.
B. Enuresis: Involuntary urination, commonly bedwetting in children.
C. Anuria: Severe lack of urine output (< 100 mL/24 hrs), which is worse than oliguria.
D. Oliguria: Oliguria is defined as urine output < 400 mL/24 hours. 250 mL in 24 hours qualifies as oliguria.
Correct Answer is B
Explanation
A. ST depression: ST depression is associated with hypokalemia or ischemia.
B. Tall peaked T waves: Hyperkalemia (K+ > 5.0 mEq/L) causes tall, peaked T waves due to abnormal repolarization. Severe hyperkalemia (>6.5 mEq/L) can lead to cardiac arrest.
C. Prolonged ST segment: Not a characteristic of hyperkalemia.
D. Prominent U wave: A U wave is seen in hypokalemia, not hyperkalemia.
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